MEDICARE: ROCHELLE R SMITH LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	2017010983	MO

General Provider Information

NPI Number	:	1932638954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROCHELLE R SMITH LPC

Provider Business Mailing Address
First Line	:	203 E MAIN ST
Second Line	:
City	:	WEST PLAINS
State	:	MO
Zip	:	65775-3524
Country	:	US
Telephone Number	:	417-257-9054
Fax Number	:

Provider Business Practice Location Address
First Line	:	203 E MAIN ST
Second Line	:
City	:	WEST PLAINS
State	:	MO
Zip	:	65775-3524
Country	:	US
Telephone Number	:	417-319-6070
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2017
Last Update Date	:	08/10/2022

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Directions to “ ROCHELLE R SMITH LPC” Practice Location

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